American Dental Group INC
Dentist in Bloomfield Hills, MI. Organization (NPI-2).
NPI number1215073010
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1215073010
- Entity type
- Organization (NPI-2)
- Legal business name
- American Dental Group INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Great Expression Dental Centers (Doing Business As)
Practice location
300 E Long Lake RdSte 311
Bloomfield Hills, MI 48304
Phone 248-203-1100 · Fax 248-203-1112
Mailing address
300 E Long Lake RdSte 311
Bloomfield Hills, MI 48304
Phone 248-203-1100 · Fax 248-203-1112
Authorized official
Richard E Beckman
Ceo
2482031121
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